HomeMy WebLinkAboutMiscellaneous System Development Code Charge 1993-3-1
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.JOB NO. q~2.-z,?
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: JA.Me..., E3.M'T"5ve..N
LOCATION: ?''2-0S MAIN ST. 1'7~-z ';l~"'? I - c>5fp()O
DEVELOPMENT TYPE: t"J..: ~V~ b-P.A1lF-L ~
BUILDING SIZE:
1. STORM DRAINAGE
LOT SIZE
SQ. Ft.
IMPERVIOUS SQ. FT.
c,'S?o
X $0.192 PER SQ. FT.
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2~ SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
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X $39.78 PER PFU
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3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
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X
X
X
X $401.05
X $401.05
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$
X $401.05 $
SUBTOTAL (ADD ITEMS 1,2, & 3) $/2S?;,7~
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
((' ~'l.-c..0
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TOTAL -C!TY SDC $ /3/ (p </2,
5. SANITARY SEWER-MWMC
NO. OF PFU'S x $13.62 PER PFU + $10 MWMC ADMIN. FEE $
(Use PFU Total From Item 2 Above)
V '",,13. L,L.
U Kip Burdick
SDC Coordinator
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$
TOTAL-MWMC SDC~-- ~
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TOTAL SDC $ 13/(, ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
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FIXTURE UNIT CAlCULA .t,N TABLE: Number of New Fixtures.t Equivalent; Fixture Units (NOTE:
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
Bathtub.......... ............................................................
Drinking Fountain.....................................................
Floor Drain................................................................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laund ry Tub /Clotheswasher...................................
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator fWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower. Single Stall.................................................
Shower. Gan.g.,....,...................................................
Sink, Bar, Commercial.............................................
Urinal, StallfWall.......................................................
Wash Basin/Lavatory. Single..................................
Water Closet. Public Installation.............................
Water Closet. Private...............................................
Miscellaneous:
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CREDIT CALCULATION TABLE: Based on assessed value.
calculate credits separates.
r-- Year
I . Annexed
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EQUIVALENT UNITS
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
TOTAL FIXTURE UNITS
If improvements occurred after annexation date in table,
Rate per $1,000
Assessed Value
1979 or before
1980
1981
, 1982
1983
'. 1984
$2.83
2.76
2.71
2.60
2.46
2.33
Year
Annexed
1985
1986
1987
1988
1989
1990
1991
Cred~ for Parcel or Land Only If Applicable
Improvement (if after annexation date)
x $
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL ; $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential....... .................................... ............. 0.4
Commercial...............................................:...... 0.9
Industrial............................... ......... ................... 0.45
Governmental................................................... 0.5
Rate per $1,000
Assessed Value
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
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IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
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CO M M ERCIALlI N DUSTRIAL
PERMIT APPLICATION
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225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER ~:<z;-
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK'
~2.L>'5
/7-02 ,"3J~ '3/
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ASSESSORS MAP:
TAX LOT:
C7t:;""~
~
OWNER:
/~~~
~2 -5"/ '.~~ /~..:5r .
CITY' .e:;?:~~ STAT~' ~
DESCRIPTION OF WORK: gy.&- k:x,/.;;r. ~~L., /I.~Q .
REMODEL J( ADDITION
PHONE:
?2L-J~S"~
ADDRESS'
ZIP' ~'? y'?~
NEW
DEMOLISH
OTHER
VALUE: ~...,.
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTm NAM~ 1"1-_ -r1 I
GENERAL:illW L~
PLUMBING'
ADD REM
I
CONST,
.. _ "'., c,c. CONTRACTOR'
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,r
.~XPIRES
" '/"'-'-"
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PHONE _
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MECHANICAl'
ELECTRICAl'
I PLUMBING I MECHANICAL
I NO. FEE CHARGE I NO "~~ r:I-t.o.~nJ:
I Single Fixture I Furnace/burner & vent
"- <100.000 BTUs
I Relocated Bldg. I Furnace/burner & vent
Inew 'ix. addtll > 100,000 BTUs
I Water Service I Floor furnace and vent
It.
I Sanitary Sewer I Suspended wall or floor
ft. mounted unit heater
I V'. Storm Sewer -::fr 5: --"I Appliance Vent
.~..". ft. separate
I I Stationaryevap.
Backflow Device cooler
I I Vent Fan/Single
duct
I I Vent System apart
from AC or hlg.
I I Mechanical exhaust
hood and duct
I I
I I Permit Issuance $10.00
I TOTAL PERMiT I TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
.
aUAD AREA:
. OF BLDGS:
LAND USF'
FLOOD PLAiN'
. OF UNITl'"
ZONING:
OCCY GROUP'
CONSTR. TYPF'
LIGHTING POWER BUDGET:
. OF STORIEl'"
H EAT SOU RCE:
WATER HEATER'
sa. FT,
$/ sa, FT.
VALUE
sa. FTG MAIN
x
sa. FTG ACCESS x
sa. FTG OTHER .t?9:l~ :~~~ x
I.BUILDING PERMiT
15% State
Surcharae
I MECHANICAL
15% State
Surcharae
I PAVING
~. f;;?
TOTAL VALUE OF PROJECT c,';,:,~
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RCPTN DAT" BY
I PLUMBING I ~~- I DEMOLITION
5% State J / .25"
SurcharQe
FENCE \ fY1 )~ ~.-:r
VALUE $ . ,
SIDEWALK I SUBTOTAL $7~ 7;;-
FT. PERM ITS
CURBCUT I SYSTEMS J~/b; ~~
FT. DEVELOPMENT
PLAN CHECK FEF
TOTAL PERMIT FEES I
EXCLUDING ELECTRIC~I
IY~~.2~
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REQUIRED INSPECTIONS
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It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call
726.3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready
for inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of...forms.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
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FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
/Y PAVING: After gravel is in
place but prior to placing
a~..!2..alt or concrete.
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SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Ownerl'Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to'the Building Division.
UNDERSLAB PLUMBING.
, ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
.ROUGH PLUMBING.
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved. '
ATTIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made after all lnslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
)C. :~NDERGROUND: Plumbing,
e~as, sanitary sewer,
~n, sew~ater and
drainage lines. To be made
prior to covering or filling
trenches.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pipes, chimneys
and vents are com plete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
. ,
Performed on the lob. (2722 f),
INSULATION & VAPOR
BARRIER: To be made afte,.all'
Insulation and required vapor-'
barriers are In place but
before any lath or gypsum
board interior wall covering is
applied.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a,6)
,
SPRAYED ON
FIREPROOFING: U.S.C.
Standards 43.8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
. made prior to installation of
floor insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
POST & BEAM: To be made
prior to Installation of floor
insulation, decking or floor
sheathing.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterior, is In
place but before any
plastering Is applied or before
gypsum board joints and
fasteners are taped and
finished.
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.S.c.
STDS. 25-10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steel location.
bond beams grouting or
verticals In accordance with
USC 2415.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
* In addition to the Inspec-
tions specified, the Sullding
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMBING .Y SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
FINAL ELECTRICAL' requ~~~ insp.t'~~~.,,/ ~~~~~) ~
~L ~([D~ Requested after the final plumbing, electrical,
FINAL MECHANICAL mechanical and Fire Department Inspections are made and
approved. No occupancy of the premises can be madeuntll a
Certificate of Occupancy has been issued by the Building Division
FINAL FIRE DEPART!\'lENT and posted on the, ~remises.
ADDITIONAL COMMEN1Sj _ (~~ 0 C' c... \ \ Jrr\r\ r-, (') 'iLI ,. '\-' i"\ 11 \l \\0 ~_ I 5.\J\.12n n f{\ ~()-.J
(9.>(,c{)~i?--' ~ltf)(').~.Q~' \\ \ D
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PLANS REVIEWED BY /' ~JJ"~
./ /'/?v. -
v,
DATe-~.~~
By signature,l state and agree, that I have carefully examined the completed application and do hereby certify that all Information
herein Is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances
of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described hereIn, and that NO OCCUPANCY
will be made of any structure without permIssion of the Building Safety Division. I further certify that only contractors and employees
who are in compliance with ORS 701.055 will be used on this project.
I further a~to ensure that all required Inspections are requested at the proper time, that project address Is readable from the
street, that t e permit card Is located at the front of the property, and the approved set of plans will remain on the site at all
~:::~ 7t1on. Date j / ~/U
VA.tDATION(/ '- AMOUNT RECEIVED: \4m. iJ...)
(V\IS
RECEIPT N'
DATE PAID'&'~ B.~
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RECEIVED: ~.)